Amenorrhea can be defined as the absence of menstruation during one or more cycles. Let’s look at how menstrual bleeding occurs, what causes it, and what the treatment is.

You can examine amenorrhea in one of two ways. The primary group is based on whether there has been a previous period or if it has stopped.

1. Primary Amenorrhea, or Inability to Menstruate

This is a 2.5% population type. It is the absence of menstruation after 13 years due to a lack of average growth or secondary sex characteristics.

2. Secondary Amenorrhea, or Menstrual Irregularity

It refers to the absence of three menstrual cycles, or six consecutive months, in an otherwise normal menstrual cycle.

How does menstrual bleeding occur?

  • If a woman has regular periods, the hypothalamus (forebrain region), pituitary and ovary (ovary) all function normally.
  • It stimulates ovaries via the hyphatalmus, pituitary hormones and brain hormones, FSH (the hormone secreted by the brain and acts as an stimulant) and LH (“the hormone that initiates ovulation in women and stimulates testosterone secretion in men”)
  • The hormones estrogen (and progesterone) are secreted when the ovaries are stimulated.
  • Progesterone and Estrogen Hormones stimulate also the inner layer of your uterus, and can cause menstrual bleeding.

Why don’t I see a period?

Physiological Causes Pregnancy and lactation, menopause (PCOS), suppression of the pituitary-axis, hypothalamus (Polycystic Ovary Syndrome)

External Factors Abortion process after birth control pill, stress, depression, sudden weight lossExtreme weakness, malnutrition or excessive exercise can all lead to extreme weakness.

What are the possible treatments?

Amenorrhea can be treated by physiological factors

First, a multidisciplinary investigation is required. This includes a physician, dietitian, obstetrician, as well as a psychologist, if necessary. Disordered eating or psychological illness like an eating disorder, depression, or anxiety.

Although studies are done in the presence and control of doctors and obstetricians, they do not consider external causes.

Treatment for amenorrhea caused by external factors